Provider Demographics
NPI:1174018931
Name:SAMI, RAKEL K (NP)
Entity Type:Individual
Prefix:
First Name:RAKEL
Middle Name:K
Last Name:SAMI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21650 W 11 MILE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3777
Mailing Address - Country:US
Mailing Address - Phone:248-327-6196
Mailing Address - Fax:
Practice Address - Street 1:31333 SOUTHFIELD RD STE 130
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-5473
Practice Address - Country:US
Practice Address - Phone:248-952-9190
Practice Address - Fax:248-952-9190
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704315154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily